BUSINESS INFORMATION

*Legal Company Name

DBA / Trade Name      

*Contact Person           

*Contact Direct Phone  

*Contact Email             

COMPANY ADDRESS / INFO

*Address Line 1

Address Line 2 

*City   *State  *5-Digit Zip

*Toll-Free Phone

*Local Phone      

*Fax                   

*Company Email  

*Billing Contact Person         

*Billing Contact Direct Phone     

*Dispatch Contact Person     

*Dispatch Contact Direct Phone

Company Website 

*Do you offer 24/7 service, 24 hour contact number to make new request, modifications and cancellations?                                                                           Yes   No

*Does your company have 24/7 internet connectivity?                    Yes   No

*Does your company have a quality fleet of late model vehicles (2005 & Higher)?  Yes   No

*Do the chauffeurs attire according to the company’s Dress code

  (Black suit, white shirt, tie, black shoes)?                                     Yes   No

*Are all the chauffeurs professionally trained and general

  Background checked before hiring?                                               Yes   No

*LIST OF VEHICLES / PLEASE LIST THE VEHICLES IN YOU FLEET BELOW